NV
Nadine V

1 reviews | Active since Sept 2017

16 Apr 2021, 11:34

Discovery Health do not care for its patients

I am very disappointed in the service that I received from Discovery Health. I had miscarriages last year due to an illness that can be prevented with a specific medication. I app**** a PMB form and requested this medication to be paid as my medical savings is finished for the year. This medication is R3000 per month. I am currently pregnant and need this medication to prevent another miscarriage. After what supposed to take only 5 days to sort out, Discovery informed me after 2 months the following:

Our funding decision

Your request has been reviewed according to the rules of the Discovery Health Medical Scheme and the Essential Saver Plan. We regret to inform you that we have declined funding for your Clexane from the Hospital Benefit, because the benefit entry criteria for funding has not been met.

Your Day-to-Day Benefits have been depleted, this means that you will be liable to fund the Clexane yourself.

I cant see why they wont pay this as this medication is crucial for my baby's life. It will actually cost Discovery thousands of rands more if I cant afford/stop this medication and will have to go to hospital AGAIN!!!

The sad part is that my friend who is with Bestmed uses the same medication and her medical aid pays for everything!!!

If I could I would have changed my medical aid.

0
Replies (2)
Discovery Health
Discovery Health's reply16 Apr 2021, 12:09
Official
Dear Nadine V

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. 
   
Regards 
Discovery Health Servicing Team
Discovery Health
Discovery Health's reply16 Apr 2021, 13:52
Official
Dear Nadine V

We’ve contacted you regarding your complaint. 
   
Regards 
Discovery Health Servicing Team